Provider Demographics
NPI:1811054844
Name:SCHWAKE, TORSTEN (DC)
Entity type:Individual
Prefix:
First Name:TORSTEN
Middle Name:
Last Name:SCHWAKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TORSTEN
Other - Middle Name:
Other - Last Name:SCHWAKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:20 STARROW DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3015
Mailing Address - Country:US
Mailing Address - Phone:845-566-0040
Mailing Address - Fax:845-566-0046
Practice Address - Street 1:20 STARROW DRIVE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3015
Practice Address - Country:US
Practice Address - Phone:845-566-0040
Practice Address - Fax:845-566-0046
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005197111N00000X
SC1117111N00000X
TN609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T89865Medicare UPIN